Dr Jaime E Tannenbaum, MD is a medicare enrolled "Specialist" physician in Rancho Mirage, California. Her current practice location is
39000 Bob Hope Dr, Rancho Mirage, California. You can reach out to her office (for appointments etc.) via phone at
(760) 340-3911.
Dr Jaime E Tannenbaum is licensed to practice in California (license number G67321) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467419226.
Physician's Profile
Full Name | Dr Jaime E Tannenbaum |
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Gender | Female |
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Speciality | Specialist |
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Location | 39000 Bob Hope Dr, Rancho Mirage, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467419226
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 12/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779655857
- Enrollment ID: I20201215001776
Medical Identifiers
Medical identifiers for Dr Jaime E Tannenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467419226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | G67321 (California) | Secondary |
174400000X | Specialist | G67321 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jaime E Tannenbaum allows following entities to bill medicare on her behalf.
Entity Name | Eisenhower Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013981554 PECOS PAC ID: 5890689657 Enrollment ID: O20100506000102 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jaime E Tannenbaum is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jaime E Tannenbaum, MD 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 Ph: (760) 340-3911 | Dr Jaime E Tannenbaum, MD 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 Ph: (760) 340-3911 |
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